Author: Cottrell, Carlton

Source: Journal of AHIMA

Publication Date: March 2007

By now, most people working in healthcare are familiar with the term electronic health record, or EHR, as well as the various forms that it might take. The legal EHR is not as well understood, particularly outside the HIM department, because many are unfamiliar with the term legal health....

Author: McLendon, Kelly

Source: Journal of AHIMA

Publication Date: February 2007

Ensuring that electronic health records are sound business records is key to EHR development, implementation, and use. The mere specter of legal ramifications concerning EHRs should get everyone to take notice of this important issue.

Health information managers should use....

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: February 2007

Some HIM professionals and legal counsel have questioned the use of the term “legal electronic health record.” By definition, isn’t a health record the organization’s business record and thus the record released in legal proceedings? The term “legal” would seem to be unnecessary. This art....

Author: AHIMA e-HIM Work Group: Guidelines for EHR Documentation Practice

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2007

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author:

Source: Journal of AHIMA

Publication Date: January 2007

Preamble
Whereas, it is acknowledged that the health care industry is in transition to electronic health records and most health care organizations have health records that are in a hybrid state;
Whereas, for evidentiary and business purposes it is required that healthcar....

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: January 2007

The concept of a legal health record (whether paper or electronic) is generally well understood within the HIM profession. However, during the transition from paper to electronic records some organizations are expressing concern about the use of the terms “legal health record” and “legal....

Author:

Source: Journal of AHIMA

Publication Date: January 2007

EHR systems can provide many benefits to patient care. But an EHR system that does not meet the basic requirements of the organization’s business record or legal medical record puts the practitioner or organization at risk.
The risk is real, because the industry has yet to focus sufficientl....

Author: McLendon, Kelly

Source: AHIMA Convention

Publication Date: October 15, 2006

Legal electronic health records are recognized as key to the development of EHRs in general. Although clinicians and EHR system designers tend to ignore the formal record keeping aspects of EHR system development, the legal ramifications get everyone to take notice. People are curious and will....

Author: Pisto, Laird A.

Source: AHIMA Convention

Publication Date: October 15, 2006

Introduction
Expansive development of the EHR is underway, and in many instances, the following situations apply:
EHRs have not kept pace with developing approaches to disclosure in litigation settings.
Past practices of converting digital records to analog form, and then replicating....

Author: AHIMA House of Delegates

Source: AHIMA HoD Resolution

Publication Date: October 08, 2006

ubmitted by AHIMA's Electronic Health Record Practice Council
Preamble
Whereas, it is acknowledged that the health care industry is in transition to electronic health records and most health care organizations have health records that are in a hybrid state,

Whereas, for eviden....